Individual
JOSHUA MICHAEL CORRIVEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4502
(616) 685-5000
Mailing address
200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4502
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301509299
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225693054
—
MI
Enumeration date
05/07/2019
Last updated
07/21/2023
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